Literature DB >> 29039621

Supporting Emergency Medical Care Teams with an Integrated Status Display Providing Real-Time Access to Medical Best Practices, Workflow Tracking, and Patient Data.

PoLiang Wu1, Min-Young Nam2, Jeonghwan Choi2, Alex Kirlik2, Lui Sha2, Richard B Berlin3.   

Abstract

The work of a hospital's medical staff is safety critical and often occurs under severe time constraints. To provide timely and effective cognitive support to medical teams working in such contexts, guidelines in the form of best practice workflows for healthcare have been developed by medical organizations. However, the high cognitive load imposed in such stressful and rapidly changing environments poses significant challenges to the medical staff or team in adhering to these workflows. In collaboration with physicians and nurses from Carle Foundation Hospital, we first studied and modeled medical team's individual responsibilities and interactions in cardiac arrest resuscitation and decomposed their overall task into a set of distinct cognitive tasks that must be specifically supported to achieve successful human-centered system design. We then developed a medical Best Practice Guidance (BPG) system for reducing medical teams' cognitive load, thus fostering real-time adherence to best practices. We evaluated the resulting system with physicians and nurses using a professional patient simulator used for medical training and certification. The evaluation results point to a reduction of cognitive load and enhanced adherence to medical best practices.

Entities:  

Keywords:  Best practice healthcare; Cognitive load; Integrated display; Situation awareness

Mesh:

Year:  2017        PMID: 29039621     DOI: 10.1007/s10916-017-0829-x

Source DB:  PubMed          Journal:  J Med Syst        ISSN: 0148-5598            Impact factor:   4.460


  21 in total

Review 1.  Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review.

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2.  Triage in medicine, part I: Concept, history, and types.

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Journal:  Ann Emerg Med       Date:  2006-07-10       Impact factor: 5.721

3.  Computer protocol facilitates evidence-based care of sepsis in the surgical intensive care unit.

Authors:  Bruce A McKinley; Laura J Moore; Joseph F Sucher; S Rob Todd; Krista L Turner; Alicia Valdivia; R Matthew Sailors; Frederick A Moore
Journal:  J Trauma       Date:  2011-05

Review 4.  Artificial intelligence in medical diagnosis.

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Journal:  Ann Intern Med       Date:  1988-01       Impact factor: 25.391

5.  Durability of class I American College of Cardiology/American Heart Association clinical practice guideline recommendations.

Authors:  Mark D Neuman; Jennifer N Goldstein; Michael A Cirullo; J Sanford Schwartz
Journal:  JAMA       Date:  2014-05       Impact factor: 56.272

6.  Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations.

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Journal:  Lancet       Date:  1993-11-27       Impact factor: 79.321

7.  The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance.

Authors:  Adil Ahmed; Subhash Chandra; Vitaly Herasevich; Ognjen Gajic; Brian W Pickering
Journal:  Crit Care Med       Date:  2011-07       Impact factor: 7.598

8.  Simulation-based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case-control study.

Authors:  Diane B Wayne; Aashish Didwania; Joe Feinglass; Monica J Fudala; Jeffrey H Barsuk; William C McGaghie
Journal:  Chest       Date:  2007-06-15       Impact factor: 9.410

9.  Medical expert systems based on causal probabilistic networks.

Authors:  S Andreassen; F V Jensen; K G Olesen
Journal:  Int J Biomed Comput       Date:  1991 May-Jun

Review 10.  Management of acute ischaemic stroke: new guidelines from the American Stroke Association and European Stroke Initiative.

Authors:  Catharina J M Klijn; Graeme J Hankey
Journal:  Lancet Neurol       Date:  2003-11       Impact factor: 44.182

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  5 in total

1.  Scenario-Based Evaluation of Team Health Information Technology to Support Pediatric Trauma Care Transitions.

Authors:  Peter L T Hoonakker; Bat-Zion Hose; Pascale Carayon; Ben L Eithun; Deborah A Rusy; Joshua C Ross; Jonathan E Kohler; Shannon M Dean; Tom B Brazelton; Michelle M Kelly
Journal:  Appl Clin Inform       Date:  2022-02-09       Impact factor: 2.342

2.  Human-centered design of team health IT for pediatric trauma care transitions.

Authors:  Pascale Carayon; Bat-Zion Hose; Abigail Wooldridge; Thomas B Brazelton; Shannon M Dean; Ben L Eithun; Michelle M Kelly; Jonathan E Kohler; Joshua Ross; Deborah A Rusy; Peter L T Hoonakker
Journal:  Int J Med Inform       Date:  2022-03-02       Impact factor: 4.730

3.  Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients.

Authors:  Abigail R Wooldridge; Pascale Carayon; Peter Hoonakker; Bat-Zion Hose; Benjamin Eithun; Thomas Brazelton; Joshua Ross; Jonathan E Kohler; Michelle M Kelly; Shannon M Dean; Deborah Rusy; Ayse P Gurses
Journal:  Appl Ergon       Date:  2020-02-12       Impact factor: 3.661

4.  Human Factors and Usability for Health Information Technology: Old and New Challenges.

Authors:  Pascale Carayon; Peter Hoonakker
Journal:  Yearb Med Inform       Date:  2019-08-16

5.  Medical Prognosis of Infectious Diseases in Nursing Homes by Applying Machine Learning on Clinical Data Collected in Cloud Microservices.

Authors:  Alberto Garcés-Jiménez; Huriviades Calderón-Gómez; José M Gómez-Pulido; Juan A Gómez-Pulido; Miguel Vargas-Lombardo; José L Castillo-Sequera; Miguel Pablo Aguirre; José Sanz-Moreno; María-Luz Polo-Luque; Diego Rodríguez-Puyol
Journal:  Int J Environ Res Public Health       Date:  2021-12-16       Impact factor: 3.390

  5 in total

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